TABLE 7.
Recommendations for Statin and Combination Treatment in People With Diabetes
Age (years) | Risk Factors | Recommended Statin Intensity* |
<40 | None | None |
ASCVD risk factor(s)** | Moderate or high | |
ASCVD | High | |
40–75 | None | Moderate |
ASCVD risk factors | High | |
ASCVD | High | |
ACS and LDL cholesterol ≥50 mg/dL (1.3 mmol/L) or in patients with a history of ASCVD who cannot tolerate high-dose statins | Moderate plus ezetimibe | |
>75 | None | Moderate |
ASCVD risk factors | Moderate or high | |
ASCVD | High | |
ACS and LDL cholesterol ≥50 mg/dL (1.3 mmol/L) or in patients with a history of ASCVD who cannot tolerate high-dose statins | Moderate plus ezetimibe |
In addition to lifestyle therapy.
ASCVD risk factors include LDL cholesterol ≥100 mg/dL (2.6 mmol/L), high blood pressure, smoking, chronic kidney disease, albuminuria, and family history of premature ASCVD.